JP7229656B2 - カテーテルおよび医療装置 - Google Patents

カテーテルおよび医療装置 Download PDF

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Publication number
JP7229656B2
JP7229656B2 JP2017113535A JP2017113535A JP7229656B2 JP 7229656 B2 JP7229656 B2 JP 7229656B2 JP 2017113535 A JP2017113535 A JP 2017113535A JP 2017113535 A JP2017113535 A JP 2017113535A JP 7229656 B2 JP7229656 B2 JP 7229656B2
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Prior art keywords
voltage
output
conductive element
catheter
ecg
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Japanese (ja)
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JP2017217484A (ja
Inventor
マイケル・レビン
アビ・レウベニ
メイル・バル－タル
デビー・エスター・ハイスミス
アリエル・ガルシア
ダニエル・オサドチー
シュムエル・アウアーバッハ
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Biosense Webster Israel Ltd
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Biosense Webster Israel Ltd
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6853—Catheters with a balloon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/062—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using magnetic field
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6858—Catheters with a distal basket, e.g. expandable basket
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
    • A61B5/6869—Heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
    • A61B5/7445—Display arrangements, e.g. multiple display units
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0209—Special features of electrodes classified in A61B5/24, A61B5/25, A61B5/283, A61B5/291, A61B5/296, A61B5/053

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Human Computer Interaction (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2017113535A 2016-06-09 2017-06-08 カテーテルおよび医療装置 Active JP7229656B2 (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US15/177,775 2016-06-09
US15/177,775 US20170354338A1 (en) 2016-06-09 2016-06-09 Dual-function sensors for a basket catheter

Publications (2)

Publication Number Publication Date
JP2017217484A JP2017217484A (ja) 2017-12-14
JP7229656B2 true JP7229656B2 (ja) 2023-02-28

Family

ID=59055007

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2017113535A Active JP7229656B2 (ja) 2016-06-09 2017-06-08 カテーテルおよび医療装置

Country Status (7)

Country Link
US (1) US20170354338A1 (de)
EP (3) EP3254613A3 (de)
JP (1) JP7229656B2 (de)
CN (1) CN107485388B (de)
AU (1) AU2017203843A1 (de)
CA (1) CA2970090A1 (de)
IL (1) IL252383B (de)

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US11000220B2 (en) 2018-03-13 2021-05-11 Biosense Webster (Israel) Ltd. SNR of intracardiac signals
US20190314083A1 (en) 2018-04-11 2019-10-17 Biosense Webster (Israel) Ltd. Flexible Multi-Arm Catheter with Diametrically Opposed Sensing Electrodes
US10799147B2 (en) * 2018-06-26 2020-10-13 Biosense Webster (Israel) Ltd. Magnetic pickup cancellation by compensation leads
US11246505B2 (en) 2018-11-01 2022-02-15 Biosense Webster (Israel) Ltd. Using radiofrequency (RF) transmission system to find opening in tissue wall
US11045628B2 (en) 2018-12-11 2021-06-29 Biosense Webster (Israel) Ltd. Balloon catheter with high articulation
CN111345909B (zh) * 2018-12-20 2021-11-02 四川锦江电子科技有限公司 一种用于确定磁电映射关系的方法和装置
US11207016B2 (en) 2018-12-28 2021-12-28 Biosense Webster (Israel) Ltd. Mapping ECG signals using a multipole electrode assembly
US11850051B2 (en) 2019-04-30 2023-12-26 Biosense Webster (Israel) Ltd. Mapping grid with high density electrode array
US11712172B2 (en) 2019-07-18 2023-08-01 Biosense Webster (Israel) Ltd. Visual guidance for positioning a distal end of a medical probe
US11759150B2 (en) 2019-08-27 2023-09-19 Biosense Webster (Israel) Ltd. Accurate basket catheter tracking
US11950930B2 (en) 2019-12-12 2024-04-09 Biosense Webster (Israel) Ltd. Multi-dimensional acquisition of bipolar signals from a catheter
US11517218B2 (en) 2019-12-20 2022-12-06 Biosense Webster (Israel) Ltd. Selective graphical presentation of electrophysiological parameters
US20210369132A1 (en) 2020-05-29 2021-12-02 Biosense Webster (Israel) Ltd. Intraluminal reference electrode for cardiovascular treatment apparatus
US11987017B2 (en) 2020-06-08 2024-05-21 Biosense Webster (Israel) Ltd. Features to assist in assembly and testing of devices
US12048479B2 (en) 2020-09-10 2024-07-30 Biosense Webster (Israel) Ltd. Surface mounted electrode catheter
US11950840B2 (en) 2020-09-22 2024-04-09 Biosense Webster (Israel) Ltd. Basket catheter having insulated ablation electrodes
US11950841B2 (en) 2020-09-22 2024-04-09 Biosense Webster (Israel) Ltd. Basket catheter having insulated ablation electrodes and diagnostic electrodes
US12082875B2 (en) 2020-09-24 2024-09-10 Biosense Webster (Israel) Ltd Balloon catheter having a coil for sensing tissue temperature and position of the balloon
US11974803B2 (en) 2020-10-12 2024-05-07 Biosense Webster (Israel) Ltd. Basket catheter with balloon
US12201786B2 (en) 2020-12-17 2025-01-21 Biosense Webster (Israel) Ltd. Measurement of distal end dimension of catheters using magnetic fields
US11918383B2 (en) 2020-12-21 2024-03-05 Biosense Webster (Israel) Ltd. Visualizing performance of catheter electrodes
US12064170B2 (en) 2021-05-13 2024-08-20 Biosense Webster (Israel) Ltd. Distal assembly for catheter with lumens running along spines
US12364426B2 (en) 2021-08-12 2025-07-22 Biosense Webster (Israel) Ltd. Electro-anatomical mapping and annotation presented in electrophysiological procedures
US12004804B2 (en) 2021-09-09 2024-06-11 Biosense Webster (Israel) Ltd. Basket catheter with mushroom shape distal tip
US12478424B2 (en) 2021-09-10 2025-11-25 Biosense Webster (Israel) Ltd. Staggered pairs of biased ablation electrodes on basket catheter
US12011280B2 (en) 2021-10-04 2024-06-18 Biosense Webster (Israel) Ltd. Electrophysiological mapping in the presence of injury current
US12533489B2 (en) 2021-10-08 2026-01-27 Biosense Webster (Israel) Ltd. Measuring tissue proximity for multi-electrode catheter
US12419683B2 (en) 2021-12-22 2025-09-23 Biosense Webster (Israel) Ltd. Irreversible electroporation with shorted electrodes
US12446946B2 (en) 2022-01-20 2025-10-21 Biosense Webster (Israel) Ltd. Systems and methods for a single spiral electrode assembly forming a spherical basket for improved tissue contact and current delivery
US12484961B2 (en) 2022-01-20 2025-12-02 Biosense Webster (Israel) Ltd. Mechanical retainer systems for electrodes of a basket catheter, and methods of the same
US12440263B2 (en) 2022-01-20 2025-10-14 Biosense Webster (Israel) Ltd. Systems and methods for tripodic spines forming a spherical basket for improved tissue contact and current delivery
CN114668482A (zh) * 2022-01-28 2022-06-28 心航路医学科技(广州)有限公司 双层网篮导管装置
US12471989B2 (en) 2022-04-28 2025-11-18 Biosense Webster (Israel) Ltd. Strengthened expandable baskets for medical probes and medical probes containing strengthen expandable baskets
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US12521035B2 (en) 2022-12-29 2026-01-13 Biosense Webster (Israel) Ltd. Cylindrical cage systems and methods for distributed tissue contact for mapping and ablation

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JP2011152430A (ja) 2000-07-07 2011-08-11 Biosense Webster Inc 電極−目的物間の接触検出用の方法
JP2005525162A (ja) 2002-05-13 2005-08-25 カソリックス ピーティーワイ リミテッド 多重電極リード
JP2006511296A (ja) 2002-12-18 2006-04-06 ボストン　サイエンティフィック　リミテッド 登録した画像を用いたカテーテル案内システム
JP2010522623A (ja) 2007-03-26 2010-07-08 ボストン サイエンティフィック リミテッド 高解像度電気生理学カテーテル
JP2011500172A (ja) 2007-10-12 2011-01-06 コンメッド コーポレーション 心拍出量測定装置および方法
US20110264000A1 (en) 2007-12-28 2011-10-27 Saurav Paul System and method for determining tissue type and mapping tissue morphology
JP2014506171A (ja) 2010-12-30 2014-03-13 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド 不整脈の診断及びカテーテル治療のためのシステム及び方法
US20150119670A1 (en) 2013-10-30 2015-04-30 The Charlotte-Mecklenburg Hospital Authority D/B/A Carolinas Healthcare System Devices, systems, and methods for treating cardiac arrhythmias
JP2015134166A (ja) 2014-01-17 2015-07-27 バイオセンス・ウエブスター・（イスラエル）・リミテッドＢｉｏｓｅｎｓｅ Ｗｅｂｓｔｅｒ （Ｉｓｒａｅｌ）， Ｌｔｄ． カテーテル編組ワイヤを使用する信号伝送
JP2015139707A (ja) 2014-01-29 2015-08-03 バイオセンス・ウエブスター・（イスラエル）・リミテッドＢｉｏｓｅｎｓｅ Ｗｅｂｓｔｅｒ （Ｉｓｒａｅｌ）， Ｌｔｄ． 心房細動アノテーションのための二重双極構成
JP2015167864A (ja) 2014-03-05 2015-09-28 バイオセンス・ウエブスター・（イスラエル）・リミテッドＢｉｏｓｅｎｓｅ Ｗｅｂｓｔｅｒ （Ｉｓｒａｅｌ）， Ｌｔｄ． 編組ワイヤを介した信号伝送を備えるマルチアーム・カテーテル

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Publication number Publication date
JP2017217484A (ja) 2017-12-14
EP3434180A1 (de) 2019-01-30
EP3689232C0 (de) 2024-02-07
EP3254613A2 (de) 2017-12-13
CN107485388A (zh) 2017-12-19
US20170354338A1 (en) 2017-12-14
AU2017203843A1 (en) 2018-01-04
EP3434180B1 (de) 2020-01-08
CA2970090A1 (en) 2017-12-09
EP3689232A1 (de) 2020-08-05
IL252383A0 (en) 2017-07-31
EP3254613A3 (de) 2018-03-07
IL252383B (en) 2020-09-30
CN107485388B (zh) 2022-10-25
EP3689232B1 (de) 2024-02-07

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